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South Carolina rates for HCPCS 52353

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $7,079.46 / $21,379.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,981.07 / $10,471.29 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,413.10 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $588.84 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $17,378.01 / $26,302.68